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CUMI TALITHA JOLLY LCSW
NPI 1245630128
Social Worker - Clinical in Charlotte, NC

Active since August 28, 2014PECOS EnrolledAccepts Medicare Assignment
3545 WHITEHALL PARK DR STE 300, CHARLOTTE, NC 28273(980) 302-8850(704) 316-8118 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2023, Oct 27, 2020, Sep 16, 2020 and 2 more (5 updates tracked since 2017).

About Cumi Talitha Jolly Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUMI TALITHA JOLLY LCSW (NPI 1245630128) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C008689) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1245630128
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCUMI TALITHA JOLLYCredential: LCSW
Location Address3545 WHITEHALL PARK DR STE 300Charlotte, NC 28273-4179
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(980) 302-8850
Fax(704) 316-8118
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 28, 2014
Last NPPES UpdateNovember 28, 20235 updates tracked since enumeration
NPPES CertifiedNovember 28, 2023
✔ NPI 1245630128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C008689
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3545 WHITEHALL PARK DR STE 300, Charlotte, NC 28273
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Other Names 1

Former Name (1)Cumi Jolly Bevel Lcsw

Secondary Practice Locations 2

Location 1175 Kimel Park Dr, Suite 100Winston Salem, NC 27103-6951 · Phone (800) 718-3550 · Fax (336) 277-6981
Location 21400 Willow LnNorth Wilkesboro, NC 28659-3551 · Phone (336) 667-5151 · Fax (336) 667-5048

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cumi Talitha Jolly Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527116086
PECOS Enrollment IDI20151207002081
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Cumi Jolly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
Same address
Psychiatry
3545 WHITEHALL PARK DR STE 300
Charlotte, NC 28273
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1639730880 (704) 384-9414
Daymark Recovery Services, Inc.
29 mi
Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
NPI 1558329243 (704) 939-1100
Forsyth Memorial Hospital Inc
47 mi
Hematology & Oncology
276 OLD MOCKSVILLE RD STE 800
Statesville, NC 28625
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
NPI 1649589763 (704) 873-5150
Novant Health Medical Group Coastal Region, LLC
160 mi
Hematology & Oncology
75 EMERSON BAY RD STE 104
Carolina Shores, NC 28467
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1801565684 (910) 667-4283

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28273 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROBERT MICHAEL COX LCMHC
Counselor
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
MR. DAVID S RODGERS LCSW
Social Worker (Clinical)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
CHARLES STUART FORBES JR. PA
Physician Assistant
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
VANESSA ANDREA ARENAS PA, LCMHC
Physician Assistant
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
MITZIE HUGHES HOPKINS LPCS
Counselor (Mental Health)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
COURTENEY SANDERFORD SCHENCK MSW, LCSW, LCAS
Social Worker (Clinical)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
MRS. CARMEN IRIS MAE HINDS LPC
Counselor
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850
MR. BENEDETTO ALBERT PALOMBO PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3545 WHITEHALL PARK DR STE 300
CHARLOTTE, NC 28273
Mecklenburg County (980) 302-8850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cumi Jolly's NPI number?

The NPI number for Cumi Jolly is 1245630128. It was assigned to this individual provider in the NPPES registry on August 28, 2014. The provider is also known as Cumi Jolly Bevel Lcsw.

Where is Cumi Jolly located?

Cumi Jolly practices at 3545 Whitehall Park Dr Ste 300, Charlotte, NC 28273. The listed phone number is (980) 302-8850.

What is Cumi Jolly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Cumi Jolly enrolled in Medicare?

Yes. Cumi Jolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cumi Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cumi Jolly reassigns Medicare benefits to 4 organizations: Novant Health Medical Group, LLC (Charlotte, NC), Daymark Recovery Services, Inc. (Concord, NC), Forsyth Memorial Hospital Inc (Statesville, NC) and Novant Health Medical Group Coastal Region, LLC (Carolina Shores, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cumi Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cumi Jolly accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Cumi Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cumi Jolly was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.